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Instructions for Filing a Group Life
(or Dependent Life) Claim
To the Administrator:
A claim for Group Life Insurance benefits should be submitted to Assurance Employee Benefits as soon as notice
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How to fill out a claim for group
How to fill out a claim for group
01
Gather all necessary information such as the name and contact details of the group or policyholder, the group policy number, and any relevant documentation or receipts.
02
Begin by filling out the top section of the claim form with your personal information, including your name, address, and contact details.
03
Provide the details of the group or policyholder in the designated section, including their name, address, and policy number.
04
Specify the reason for the claim, whether it's medical expenses, disability, or any other covered event. Include any relevant details or supporting documentation.
05
If required, indicate the healthcare provider or facility where services were received, along with the corresponding dates.
06
Complete the section for itemized expenses, providing a detailed breakdown of each expense incurred.
07
Make sure to attach any necessary supporting receipts, invoices, or medical records to validate the claim.
08
Double-check all the information entered for accuracy and completeness before submitting the claim.
09
Follow the instructions provided by the insurance company for submitting the claim. This may include mailing it to a specific address or submitting it electronically.
10
Keep a copy of the completed claim form and all supporting documentation for your own records.
Who needs a claim for group?
01
A claim for group is needed by individuals who are part of a group or organization that has a group insurance policy.
02
This includes employees who are covered under an employer-sponsored group health insurance plan, members of professional associations with group insurance coverage, and individuals who are part of any other organization with a group insurance policy.
03
In order to access the benefits provided by the group insurance policy, individuals must fill out a claim form to request reimbursement or coverage for eligible expenses.
04
It is important to carefully review the terms and conditions of the group insurance policy to determine the specific circumstances and requirements for filing a claim.
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